Valoración de las heridas crónicas en el adulto: una revisión integrativa

Samaniego-Ruiz, María-Jesús; Llatas, Federico Palomar; Jiménez, Onofre Sanmartín

doi:10.1590/s1980-220x2016050903315

Cited by 4 publications

(3 citation statements)

References 37 publications

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“…Therefore, many studies have shown that the average age of people affected by ulcers is generally between 70 and 80 and probably these statistics will worsen due to the global increase in the elderly population [16,20,21]. One of the major risk factors for ulcers is comorbidity, a condition in which the patient affected by a wound already possesses one or more chronic underlying diseases [16,22]. Based on pre-existing chronic diseases, different types of ulcers can be distinguished.…”

Section: Acute and Chronic Wound Healingmentioning

confidence: 99%

Collagen-Based Scaffolds for Chronic Skin Wound Treatment

La Monica,

Campora,

Ghersi

2024

Gels

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Chronic wounds, commonly known as ulcers, represent a significant challenge to public health, impacting millions of individuals every year and imposing a significant financial burden on the global health system. Chronic wounds result from the interruption of the natural wound-healing process due to internal and/or external factors, resulting in slow or nonexistent recovery. Conventional medical approaches are often inadequate to deal with chronic wounds, necessitating the exploration of new methods to facilitate rapid and effective healing. In recent years, regenerative medicine and tissue engineering have emerged as promising avenues to encourage tissue regeneration. These approaches aim to achieve anatomical and functional restoration of the affected area through polymeric components, such as scaffolds or hydrogels. This review explores collagen-based biomaterials as potential therapeutic interventions for skin chronic wounds, specifically focusing on infective and diabetic ulcers. Hence, the different approaches described are classified on an action-mechanism basis. Understanding the issues preventing chronic wound healing and identifying effective therapeutic alternatives could indicate the best way to optimize therapeutic units and to promote more direct and efficient healing.

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Section: Acute and Chronic Wound Healingmentioning

confidence: 99%

Collagen-Based Scaffolds for Chronic Skin Wound Treatment

La Monica,

Campora,

Ghersi

2024

Gels

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“…Similarly, a study conducted in Saudi Arabia revealed that hospitalisations and surgical treatments significantly raise the entire cost of healthcare when treating diabetic foot ulcers, with high direct medical expenditures [5]. Wound healing is affected by a complex interaction of factors, including physiological, psychosocial, and wound characteristics, and this emphasises the need for a multifactorial approach to detecting and intervening with ulcers [6]. Despite the recommendations of clinical practice standards, there exist deviations in surgical wound care practices, which vary from one clinical setting to another [7].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Patient Satisfaction With Nurse-Led Wound Care Services

AlZayed,

Lalithabai

2024

JMLPH

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Background: The increasing incidence of chronic wounds, combined with the high number of patients requiring hospital services, has led to the concept of nurse-led wound care clinics to support general practitioners in the treatment and management of wounds. Aim: This study aims to assess patients’ perception of, and satisfaction with, wound care services in a tertiary healthcare setting in Riyadh, Saudi Arabia. Methods: The study utilised a cross-sectional descriptive design and was conducted between September 2022 and October 2023, and data were collected via a client satisfaction questionnaire (CSQ-8). Results: Our findings revealed very positive responses overall. Considered together (response options 4 and 3), a majority of respondents (91.3%) rated the quality of service they received as “excellent” or “good”, and 85.6% reported receiving the kind of service they wanted. Regarding overall satisfaction, 92.5% of respondents reported being “very satisfied” or “mostly satisfied” with the overall service they received. Conclusion: This study reveals positive patient satisfaction with overall wound care services. However, there remains weakness in certain areas. This could be understood in more detail by conducting a qualitative study, so that action maybe taken to further improve the quality of healthcare services provided to patients.

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“…7 Chronic wound healing can be affected by ulcer location, size, and depth. 8 Classification systems for diabetic foot wounds consider size and depth, local or systemic infection, and absence of pulses as relevant criteria for a severity score. 9 The wound, ischemia, and foot infection (WIfI) Classification System developed by the Society for Vascular Surgery is based on 3 categories (WIfI) with 4 grades of severity.…”

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confidence: 99%

Microbiological Species and Antibiotic Resistance in Diabetic and Nondiabetic Lower Extremity Wounds: A Comparative Cross-Sectional Study

Santos

Barberino

Alves

2021

The International Journal of Lower Extremity Wounds

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Severe lower extremity wounds have an increased risk of complications and limb loss. The aim of this study was to evaluate and compare the microbiological profile and antibiotic resistance of wounds in diabetic and nondiabetic patients. A cross-sectional comparative study was carried out at a public hospital including 111 patients with moderate to severe wound infections. Tissue samples were collected during a surgical procedure. One hundred and four patients (94%) had positive cultures and 88 (79%) had a Gram-negative microorganism. Among the 185 cultured microorganisms, 133 (72%) were Gram-negative species. Pseudomonas aeruginosa (23 cases) was the most isolated Gram-negative species, and Enterococcus faecalis (26 cases) was the most prevalent Gram-positive species. Among 185 isolated species, 45 (24%) were extended-spectrum beta-lactamase producers, 23 (12%) were carbapenem-resistant, and 5 (3%) were methicillin-resistant Staphylococcus aureus. Findings revealed that there was no significant difference in the microbiological profile and antibiotic resistance among patients with lower extremity wounds whether they were diabetic or nondiabetic.

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Valoración de las heridas crónicas en el adulto: una revisión integrativa

Cited by 4 publications

References 37 publications

Collagen-Based Scaffolds for Chronic Skin Wound Treatment

Collagen-Based Scaffolds for Chronic Skin Wound Treatment

Evaluating Patient Satisfaction With Nurse-Led Wound Care Services

Microbiological Species and Antibiotic Resistance in Diabetic and Nondiabetic Lower Extremity Wounds: A Comparative Cross-Sectional Study

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